NPI | 1891324216 |
---|---|
Former Name | TAIRA NICOLE BERNARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OK 201817) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR 123557) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2024-07-19 |